Need advice from breastfeeding T1 moms

Pianoplayer7008
Tue, 23 May 2017 16:20:00 +0000
Type 1 & LADA

Hello! I’ll try to make this long story short. I was diagnosed with LADA a year ago, got pregnant and just delivered baby 3 weeks ago. I was on insulin by 26 weeks into the pregnancy (needed it before then but took me a while to get in with a caregiver who would prescribe), but now my insulin needs are decreased enough again I am managing primarily through diet. However, there have been times I’ve wanted to indulge in dessert or I’ve had to eat a less than ideal meal, and either gave too much insulin to try to cover or not given any out of fear of lows and ended up in the low 200s. I’d like to be able to flex with my diet when needed (or, ok, wanted), but I’m not sure how to figure out my current I:C ratio and factor in breastfeeding so as not to go low. I’m currently on my own, trying to find a doc who will treat me appropriately (latest I saw said I have type 2 despite positive antibodies). Any advice?

Here’s an example of me trying to dose with insulin recently: I was at 142 after lunch and wanted to indulge in some Mother’s Day dessert, so I injected 1 unit of Novolog. The dessert was 30 carbs (I made it myself, so I know that was correct). At 1 hr post, I was at 92. By 5 hours after, I had eaten (and not covered with insulin) a 15 carb snack and 50 carb dinner, and was only up to 115 an hour after dinner. So I don’t even know if I’ll be able to dose with insulin at all, but when I don’t, I end up anywhere from 160-210’s after eating more carby/sugary things (or just have a bigger spike than I’d like from lower carb meals of 30-45 carbs). I’m not able to do a low carb diet due to other health issues, so this is pretty stressful.

24 posts - 9 participants